Pollard-Licklider Clinic

LBN: Erin Is Hope Foundation Inc
Pollard-Licklider Clinic is an health care organization with primary practice located at 4921 E 21St St N , Wichita KS 67208-1602. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Erin Is Hope Foundation Inc can be contacted via phone (316) 681-3204, or through Pollard-Licklider, Judy Lynn via phone (316) 681-3204.

Contact Information

Primary practice address
4921 E 21St St N Wichita KS 67208-1602
Phone: (316) 681-3204
Fax: (316) 681-0541
Website:
Map and Directions
Authorized official contact:
Name: Pollard-Licklider, Judy Lynn MA CCC SLP
Phone: (316) 681-3204

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3582 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 17-02321 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 17-02079 Kansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 998 Kansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2900 Kansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2757 Kansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2304 Kansas

Profile Details

NPI number 1780638999
LBN Legal business name Erin Is Hope Foundation Inc
DBA Doing business as Pollard-Licklider Clinic
Authorized official Pollard-Licklider, Judy Lynn MA CCC SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jan 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780638999 NPPES
Kansas MEDICAID 20031630B
Kansas Other 115161

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